Loss to follow-up amongst glaucoma patients in selected hospitals of the Limpopo Province, South Africa

African Vision and Eye Health

Field Value
Title Loss to follow-up amongst glaucoma patients in selected hospitals of the Limpopo Province, South Africa
Creator Tshivhase, Shonisani E. Khoza, Lunic B. Tshitangano, Takalani G.
Subject Public Health;ophthalmology glaucoma; glaucoma patient; loss to follow-up; intraocular pressure; medication adherence; non-adherence
Description Background: Glaucoma is associated with visual field loss for which elevated intraocular pressure is the primary risk factor. Proper medication adherence requires daily intake of prescribed medication for a lifetime. Non-adherence patients are at greater risk of poor outcome than adherent patients.Aim: To identify behavioural determinants contributing to loss to follow-up amongst glaucoma patients.Setting: The study was conducted in selected hospitals of South Africa.Methods: A hospital-based cross-sectional study was conducted on glaucoma patients with age ranging from 18 years and above. Quantitative methods were used to collect data from purposefully selected glaucoma patients. Structured questionnaires were distributed to collect data from patients attending glaucoma clinics. The patients should have missed an appointment review at least once during the 12-month period.Results: Amongst the 429 glaucoma patients interviewed, the majority (79%, n = 341) of the patients missed their follow-up more than once during the 12-month period. The most cited contributory barriers to poor follow-up were accessibility (26%) followed by lack of escort and financial cost at 22% and 21%, respectively. About 115 of the 429 study respondents were found to be non-adherent. The main reasons given were shortage of medication and forgetfulness at 36% and 29%, respectively.Conclusion: Accessibility and lack of escort were significant barriers to loss to follow-up. Identifying the predictors of poor follow-up can help in improving follow-up care. Therefore, patient education and support may improve adherence to glaucoma therapy.
Publisher AOSIS
Contributor university of venda
Date 2020-10-28
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — survey
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/aveh.v79i1.559
Source African Vision and Eye Health; Vol 79, No 1 (2020); 7 pages 2410-1516 2413-3183
Language eng
Relation https://avehjournal.org/index.php/aveh/article/view/559/1333 https://avehjournal.org/index.php/aveh/article/view/559/1332 https://avehjournal.org/index.php/aveh/article/view/559/1334 https://avehjournal.org/index.php/aveh/article/view/559/1331
Coverage South Africa;Limpopo province;Vhembe District 2017-2019 18years and above;Males and females;glaucoma patients
Rights Copyright (c) 2020 Shonisani E. Tshivhase, Lunic B. Khoza, Takalani G. Tshitangano https://creativecommons.org/licenses/by/4.0